NPIMap

Individual provider Active NPI

Ilia Manevich, M.D.

  • Internal Medicine Physician
  • Chelmsford, MA
National Provider Identifier
1144551102
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
243179 Issued in MA
Practice address
290 Littleton Rd Unit 3
Chelmsford, MA 01824-3429
Phone
(978) 685-2460
NPI assigned
Jan 14, 2010
Last updated
May 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 243179 MA Primary

Addresses

Primary practice location

290 Littleton Rd Unit 3
Chelmsford, MA 01824-3429

Mailing address

290 Littleton Rd Unit 3
Chelmsford, MA 01824-3429
Phone (978) 685-2460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100811000405 MA Practitioner - Internal Medicine 9638203730 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence General Community Medical Service PLLCGroup PAC ID 4486941473, 53 clinicians
New England Community Medical Services PLLCGroup PAC ID 8628102928, 53 clinicians

Practice addresses (Care Compare)

290 Littleton Rd
Unit 3
Chelmsford, MA 01824-3429
Phone (978) 685-2460

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New England Community Medical Services PLLC Internal Medicine CurrentSince Sep 15, 2014 Accepting new patients
Mi Nursing-Restorative Center Inc Past Accepting new patients
Bear Mt Reading LLC Past Accepting new patients
Brighton Operator LLC Past Accepting new patients
Oc Reading Center LLC Past Accepting new patients
Cedar View Operator LLC Past Accepting new patients
Andover Forest Post Acute Care Center LLC Past Accepting new patients
Andover Manor Rehab and Nursing LLC Past Accepting new patients
Lown Acquisition LLC Past Accepting new patients
Blueberry Hill Operator LLC Past Accepting new patients
Bane Brighton House, LLC Past Accepting new patients

Locations

290 Littleton Rd
Unit 3
Chelmsford, MA 01824
Phone (978) 258-4734

47 High St
Ste 101
North Andover, MA 01845
Phone (978) 258-4734

11 North St
Stoneham, MA 02180
Phone (603) 759-4559

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1144551102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 LITTLETON RD UNIT 3",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243429",
            "telephone_number": "978-685-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 LITTLETON RD UNIT 3",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243429",
            "telephone_number": "978-685-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANEVICH",
        "first_name": "ILIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-14",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "243179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.